Michelle Spring, MD, FACS

I recommend finding someone who does Vectra 3D imaging.  It's great way to see yourself with different implant sizes.  Bra sizing is notoriously difficult to preduct, each vendor is different, and it is all just a ratio between your chest circumference and your breast size, so it can be variable.      I wouldn't focus too much on bra size after surgery - focus more on proportions and general size of your breasts compared to your ribcage and hips.  (In my practice very common size range is 325cc-485cc, and I put in a lot of 415 cc implants, just for reference!).Best wishes!! 

Blood around an implant can be a setup for future capsular contracture, as you noted in your question.  I would defer to what your surgeon advises.  Sometimes we can get caught up in trying to do the least invasive thing, but if you have a drain placed and it doesn't work, you will still need surgery and now you have had 2 procedures instead of one.    I tend to be more aggressive in this scenario and prefer to remove the implant, wash out all the old blood (and look for a bleeder) and basically try to start over with the implant in a clean pocket.   There is no perfect answer, and each situation is unique of course.Best wishes,Michelle Spring, MD

This is concerning for a hematoma or a seroma.  You need to see a plastic surgeon for an evaluation.  There are plastic surgeons all over the world -  call your surgeon in the US and ask for advice about what to do, please.   Michelle Spring, MD

I think breast surgery could improve your symmetry significantly - whether it is with implants, fat transfer, or a combination of procedures. Having ribcage asymmetries is not a contraindication to surgery.  In fact, breast surgery is done all the time in order to improve this issue.  Nobody is perfectly symmetric (before or after surgery), but I think it would be a good idea to talk with a board-certified plastic surgeon about your options.  We are very experienced with reconstructing breasts (after cancer) and creating symmetry of proportion and shape in the body.   I have used Vectra 3D imaging for more than 8 years and I think it is a great way to see yourself and how implants can be used to create more symmetry before you actually have surgery.Best wishes!Michelle Spring, MD

It is not uncommon to have small wounds during healing after an abdominoplasty, even if you are of a normal body weight and healthy.  Sometimes a small suture can cause an infection ("suture abscess"), similar to a large pimple.  The best option is to keep in close contact with your plastic surgeon's office and they should be able to guide you through this healing phase.Best wishes,Michelle Spring, MD

I do all drainless tummy tuck surgeries, either with Progressive Tension Sutures or TissuGlu.  I feel it is very important for my patients to wear a compression garment post operatively.  With this combination, the risk of seroma is very low in my experience.   I advise you to follow your surgeon's recommendations, as he or she will tell you what you need to do based on the technique.  This is important in order to reduce the risk of complications.     Best wishes!

I agree with the answers posted - you must prioritize your health over a cosmetic surgery.  You may need medical clearance from your primary care physician, an anesthesia consultation, lab work, etc.    Please remember that any elective (ie, not medically necessary) surgery should not be pursued at the expense of your health if there is a high risk of having a complication from the surgery or anesthesia.  Best wishes!

The swelling from surgery is usually gone by 6 months, but as time goes on your breasts will continue to change  (and age like the rest of your body).  It would help to get the perspective from your surgeon, as your breasts appear quite small in the photos and there is a risk of losing blood supply to the tissue (nipple complex) if too much tissue is removed during surgery.    I'm confused about your wish pictures - they don't look like patients who have had a breast reduction.  It's really hard to compare realistic results/expectations if you are looking at pictures of patients who have not had the same procedure.   The amount of  "cleavage" women have is partly related to how wide your breast base is and how much tissue covers the sternum area, so that is going to be a little different for everyone, regardless of how much breast tissue volume you have.   Probably too much information, but I think your results look good (and sorry you are unhappy).   Best wishes

Silicone implants are very hard to rupture, and it is unlikely.  However, many of my patients come in for a check after an injury just to be sure there is no sign of anything wrong.  It is more likely that you could injure your soft tissue than actually rupture a brand new implant, but please see your surgeon for a check if you have any symptoms! Dr. Michelle Spring

I will echo the others - please see your surgeon for any concerns like this.   It is impossible to accurately diagnose with a photo like that, and you are still in the early healing phases after surgery.Good luck! Dr. Michelle Spring